MICHAEL MATTHEW MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133128

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

MATTHEW

Last Name

MOORE

Business Name

MICHAEL MATTHEW MOORE

Original Issue Date

10/13/2000

Effective Date

10/13/2000

Expiration Date

03/31/2004

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005